[104-10222-10012.pdf — page 309]
# SECRET(When Filled in)QUALIFICATIONS UPDATEREAD INSTRUCTIONS CAREFULLY BEFORE COMPLETING, TAPE OR PRINT, AVOID USING LIGHT COLORED INKSNow that your qualifications are a matter of computer record, they must be periodically updated. This is done auto-matically for much information; however, some must be obtained directly from you. This form to for that purpose.Section I must be completed in all cases. You need provide other information only if there have been changes sinceyou submitted your Form 144), "Qualifications Supplement to the Personal History Statement, or a previous update forms.If you are in doubt whether information has been previously submitted, enter it in the appropriate section. The signedand dated form should be returned through administrative channels to the File Room, Office of Personnel, Room SE-13Headquarters, whether information is added or not.Additionally, a qualifications update may take place at any time there is information to be added or changed simplyby completing and returning an update form on your initialive.SECTION I BIOGRAPHIC AND POSITION DATA| EMP. SER. NO. | NAME (Last-First Middle) | DATE OF BIRTH || ------------- | :----------------------: | :-----------: || 012170        |    Randall, Frederick    |   10/28/26    |SECTION II EDUCATION| LAST HIGH SCHOOL ATTENDED | ADDRESS (City, State, Country) | YEARS ATTENDED (From-To) | GRADUATE || ------------------------- | :----------------------------: | :----------------------: | :------: || NAME AND LOCATION OF COLLEGE OR UNIVERSITY |     MAJOR      | MINOR | YEARS ATTENDED FROM-TO- | DEGREE RECEIVED | YEAR RECEIVED | NO. SEM/OTR MRS. (Specify) || ------------------------------------------ | :------------: | :---: | :---------------------: | :-------------: | :-----------: | :------------------------: || American Un., Washington, D. C.            | Int. Relations |       |       '66-present       |      none       |               |        27 sem hrs.         || 2.                                         |                |       |                         |                 |               |                            |IF A GRADUATE DEGREE HAS BEEN NOTED ABOVE WHICH REQUIRED SUBMISSION OF A WRITTEN THESIS. INDICATE THE TITLE OF THETHESIS AND BRIEFLY DESCRIBE ITS CONTENT.| NAME AND ADDRESS OF SCHOOL | STUDY OR SPECIALIZATION | FROM | TO  | NO. OF MONTHS || -------------------------- | :---------------------: | :--: | :-: | :-----------: ||                            |                         |      |     |               || NAME AND ADDRESS OF SCHOOL | STUDY DR SPECIALIZATION | FROM | TO  | NO. OF MONTHS || -------------------------- | :---------------------: | :--: | :-: | :-----------: ||                            |                         |      |     |               |SECTION III MARITAL STATUS1. PRESENT STATUS (Single, Married, Widowed, Separated, Divorced, Annulled, Remarried) SPECIFY: ______________| 2. NAME OF SPOUSE | (Last) | (First) | (Middle) | (Maiden) || ----------------- | :----: | :-----: | :------: | :------: ||                   |        |         |          |          |3. DATE OF BIRTH 4. PLACE OF BIRTH (City, State, Country)5. OCCUPATION 6. PRESENT EMPLOYER7. CITIZENSHIP 8. FORMER CITIZENSHIP(S) COUNTRY(IES) 9. DATE U.S. CITIZENSHIP REQUIREDSECTION IV DEPENDENT CHILDREN AND DEPENDENTS OTHER THAN SPOUSE|        | NAME | RELATIONSHIP | DATE AND PLACE OF BIRTH | CITIZENSHIP | PERMANENT ADDRESS || ------ | :--: | :----------: | :---------------------: | :---------: | :---------------: || 1.     |      |              |                         |             |                   || ADD    |      |              |                         |             |                   || 2.     |      |              |                         |             |                   || DELETE |      |              |                         |             |                   || 3.     |      |              |                         |             |                   || ADD    |      |              |                         |             |                   || 4.     |      |              |                         |             |                   || DELETE |      |              |                         |             |                   |SECRET